title: Quality criteria for micronutrient powder products: report of a meeting organized by the World Food Programme and Sprinkles Global Health Initiative.
abstract: Distribution of micronutrient powder (MNP), also known as Sprinkles", is becoming a preferred strategy for addressing micronutrient deficiencies. In response, different formulations are being developed, different producers manufacture MNP and several organizations coordinate distribution. However, as yet, the supply of MNP as well as experience with large-scale MNP programs is limited. To facilitate expansion of MNP use such that acceptability and compliance are high and effectiveness maintained, product quality, of both powder and packaging, good advocacy among decision makers, and providing good information to the target population are crucial. A meeting was organized in Toronto by the Sprinkles Global Health Initiative and the World Food Programme to review and reach consensus on quality criteria for composition, manufacturing, packaging, and labeling of MNP propose guidelines for wide-scale production, and discuss MNP program experience. It was recognized that the durability of some of the more sensitive micronutrients in their powdered form in the harsh climatic conditions of many countries has implications for formulation, packaging, storage, and handling of the MNP product. A question-and-answer manual would greatly facilitate program design and implementation. It was agreed to form an interim Technical Advisory Group to prepare for formation of a Technical Advisory Group with agreed-upon tasks and responsibilities. The MNP manufacturing manual of the Sprinkles Global Health Initiative can continue to be used, with reference to the recommendations from the Toronto Meeting outlined in this paper. Meanwhile, the Sprinkles Global Health Initiative will not place any encumbrances on production using its manual; however, the brand name Sprinkles" will stay protected under various trademark laws.
authors.affiliation: Nutrition and HIV/AIDS Policy (OEDP), Policy, Strategy and Programme Support Division, World Food Programme, Via Cesare Giulio, 68/70 Parco de' Medici, Rome 00148, Italy. saskia.depee@wfp.org
authors.forename: Saskia
authors.initials: S
authors.lastname: de Pee
authors.forename: Klaus
authors.initials: K
authors.lastname: Kraemer
authors.forename: Tina
authors.initials: T
authors.lastname: van den Briel
authors.forename: Erick
authors.initials: E
authors.lastname: Boy
authors.forename: Christopher
authors.initials: C
authors.lastname: Grasset
authors.forename: Regina
authors.initials: R
authors.lastname: Moench-Pfanner
authors.forename: Stanley
authors.initials: S
authors.lastname: Zlotkin
authors.forename: Martin W
authors.initials: MW
authors.lastname: Bloem
mesh_terms: D026683:Advisory Committees; D018798:Anemia, Iron-Deficiency / Q000517:prevention & control; D003254:Consumer Advocacy; D005515:Food Labeling / Q000592:standards; D018857:Food Packaging / Q000592:standards; D005519:Food Preservation / Q000592:standards; D005527:Food, Fortified / Q000592:standards*; D014943:Global Health; D006284:Health Plan Implementation; D006801:Humans; D044342:Malnutrition / Q000517:prevention & control*; D018977:Micronutrients / Q000592:standards*; D018673:Nutrition Policy; D011208:Powders
chemical_list: D018977:Micronutrients; D011208:Powders